Sex-related alcohol expectancies among adolescents: I. Scale development.

Dermen, Kurt H.; Cooper, Melanie M.

doi:10.1037/0893-164x.8.3.152

Cited by 127 publications

(105 citation statements)

References 23 publications

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“…Sex-related alcohol expectancies-To measure alcohol expectancies for sexual behaviors, a previously validated, 11-item questionnaire asks respondents to indicate the extent to which they agree or disagree with each statement using a five point Likert scale (Dermen & Cooper, 1994a, 1994b. A sample item is: "When I am high or drunk I am more likely to do sexual things I usually wouldn't do."…”

Section: Methodsmentioning

confidence: 99%

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Brown

Vanable

2007

Addictive Behaviors

213

190

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Alcohol use is prevalent among college students and may contribute to elevated rates of sexual risk taking. Using event-level data, the hypothesis that partner type would moderate the effect of alcohol consumption on condom use was tested. Sexually active college students (N = 330; 67% female) reported on characteristics of their most recent sexual encounter, including partner type, alcohol use, and condom use, along with measures of sex-related alcohol expectancies, sensation seeking, and typical alcohol use. Unprotected vaginal sex (UVS) was reported by 39% of the sample and 32% reported alcohol use prior to sex. For the complete sample, UVS was just as likely for non-drinking events as for events involving alcohol use. However, for sexual encounters involving a non-steady partner, alcohol consumption was associated with an increase in UVS, whereas rates of UVS did not vary by drinking status for encounters involving a steady partner. These effects remained in analyses that controlled for sex-related alcohol expectancies, sensation seeking, and typical alcohol use. Findings confirm that the effects of alcohol vary according to the context in which it is used. Keywords alcohol; partner type; risky sexual behavior; condom use; HIV Alcohol Use, Partner Type, and Risky Sexual Behavior Among College Students: Findings from an Event-Level StudyAlcohol use is highly prevalent among college students and may contribute to elevated rates of sexual risk taking (Cerwonka, Isbell, & Hansen, 2000;Hingson, Heeren, Zakocs, Kopstein, & Wechsler, 2002;Perkins, 2002;Wechsler, Lee, Kuo, & Lee, 2000). Indeed, an estimated 42% of college aged students engage in binge drinking (Wechsler, Lee, Kuo, & Lee, 2000), and as many as 400,000 college students have unprotected sex after drinking in a given year (Hingson, Heeren, Zakocs, Kopstein, & Wechsler, 2002). However, empirical research exploring the causal linkage of alcohol use to high risk sexual behavior has yielded mixed findings among college students (Anderson & Mathieu, 1998;Cooper, 2002) and other at-risk populations (Weinhardt & Carey, 2000). Global association studies that focus on overall Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. patterns of alcohol use and high-risk sexual practices suggest a positive association between drinking and sexual risk behavior (for a review, see Dingle & Oei, 1997). In contrast, eventlevel studies that link alcohol use to sexual activity for specific encounters often show no difference in condom use for drinking versus non-drinking encounters (Desiderato & Crawford, 1995;Senf & Price, 1994;Te...

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Section: Methodsmentioning

confidence: 99%

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Brown

Vanable

2007

Addictive Behaviors

213

190

View full text Add to dashboard Cite

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“…We assessed sex-related alcohol expectancies with Dermen and Cooper's (1994) 13-item measure. Expectancies assessed by this measure fall within three subscales: sexual enhancement, risk, and disinhibition.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Risky Sexual Behavior With New and Regular Partners in a Sample of Women Bar Drinkers

Parks

Hsieh

Collins

et al. 2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: We designed the current study to assess the rates of risky sexual behavior among women bar drinkers, as well as differences in predictors of risky sexual behavior, based on partner type-new or regular. Method: We conducted comprehensive, in-person interviews with 241 young women who reported weekly drinking in bars. Several constructs (e.g., individual characteristics, social and sexual behavior, substance use) that we hypothesized would predict risky sexual behavior were assessed in two separate hierarchical regression models for new and regular sexual partners. Results: Rates of risky sexual behavior were signifi cantly higher with regular partners compared with new partners. Increased risky sexual behavior with new partners was signifi cantly associated with having had a riskier regular partner in the past 6 months, lower sexually transmitted disease (STD)/pregnancy prevention assertiveness, increased expectations of sexual disinhibition when drinking, a greater history of prior sexual risk taking, and more frequent drinking in bars. Increased risky sexual behavior with a regular partner was significantly associated with being older, the use of oral contraceptives, lower assertiveness for STD/pregnancy prevention, a greater history of prior sexual risk taking, and increased drug use. Conclusions: Among young women who regularly drink in bars, sexual risk taking was signifi cantly higher with regular partners than with new partners. The predictors of risky sexual behavior differed based on partner type. These fi ndings have implications for including information about the role of alcohol, drinking context, and drug use, as well as individual difference characteristics and partner type in targeted prevention strategies to reduce sexual risk taking. (J. Stud. Alcohol

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“…Alcohol expectancies-Two of Dermen and Cooper's (1994) alcohol-expectancy subscales were used to assess alcohol expectancies relevant to sexual risk taking. The 6-item sexual-risk subscale and the 7-item disinhibition subscale were highly correlated, r = .65, p < .001; thus, they were combined into a single measure.…”

Section: Methodsmentioning

confidence: 99%

“…Based on past research and theory, alcohol expectancies about sexual risk taking and self-efficacy regarding condom use when intoxicated were expected to be significant predictors of frequency of condom use with casual partners when intoxicated (Abbey, Saenz, & Buck, 2005;Brien et al, 1994;Dermen & Cooper, 1994). A measure of usual alcohol consumption was included, although our expectation was that it would not be significant when drinking within the sexual situation was already taken into account.…”

Section: Overview Of Study and Hypothesesmentioning

confidence: 99%

Condom use with a casual partner: What distinguishes college students' use when intoxicated?

Abbey

Parkhill

Buck

et al. 2007

Psychology of Addictive Behaviors

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Determining alcohol's precise role in sexual risk taking has proven to be an elusive goal. Past research has produced mixed results, depending on characteristics of individuals, their partners, and the situation, as well as how the link between alcohol consumption and sexual behavior was assessed. In this study, cross-sectional predictors of the frequency of condom use were examined for 298 heterosexual college students at a large urban university. In hierarchical multiple regression analyses that controlled for frequency of condom use when sober, alcohol expectancies regarding sexual risk taking and self-efficacy regarding condom use when intoxicated were significant predictors of frequency of condom use when intoxicated. These findings highlight the importance of targeting beliefs about alcohol's disinhibiting effects in STD-and HIV-prevention programs. Keywordsrisky sexual behavior; condom use; alcohol; STD and HIV prevention; college students Approximately 19 million STD infections are diagnosed annually in the United States, and almost half occur among individuals between the ages of 15 and 24 (Weinstock, Berman, & Cates, 2004). At least half of all new HIV infections in the United States are estimated to occur among people under the age of 25, with African Americans disproportionately affected (Centers for Disease Control and Prevention, 2004). Rates of heterosexual transmission have been increasing, particularly among young women (Centers for Disease Control and Prevention, 2004).Nationally representative surveys of college students suggest that many engage in high-risk sexual behaviors. Approximately 80% of college students have engaged in sexual intercourse, yet only about one third report that they regularly use condoms (Douglas et al., 1997;Wechsler et al., 2000). About one quarter of college students report having had six or more lifetime sexual partners (Douglas et al., 1997), and 6% report having had more than one partner in the past 30 days (Wechsler et al., 2000). Self-reported lifetime rates of STD infections range from 12% to 25% among sexually experienced students (Cooper, 2002) HHS Public Access Mixed Evidence Regarding the Relationship Between Intoxication and Risky Sexual BehaviorAcute alcohol consumption impairs higher-order cognitive processing and activates relevant expectancies (Curtin & Fairchild, 2003;Fillmore & Blackburn, 2002;Fromme, D'Amico, & Katz, 1999;George & Stoner, 2000). Thus, sexual encounters that take place when individuals are intoxicated are expected to involve more high-risk sexual behavior because of drinkers' diminished decision-making capacities, coupled with their beliefs that intoxication reduces their sexual inhibitions. Despite the large body of theory and research that supports this hypothesis, delineating alcohol's role in risky sexual behavior has been more challenging than originally anticipated (for reviews see Cooper, 2002; HalpernFelsher, Millstein, & Ellen, 1996;Weinhardt & Carey, 2000). Personality traits, such as impulsivity and sensation seek...

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Sex-related alcohol expectancies among adolescents: I. Scale development.

Cited by 127 publications

References 23 publications

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study

Predictors of Risky Sexual Behavior With New and Regular Partners in a Sample of Women Bar Drinkers

Condom use with a casual partner: What distinguishes college students' use when intoxicated?

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